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大鼠半横断脊髓损伤:术中体感诱发电位监测的价值。

Hemisection spinal cord injury in rat: the value of intraoperative somatosensory evoked potential monitoring.

机构信息

Center for Translational Science Activities, Mayo Clinic, USA.

出版信息

J Neurosci Methods. 2012 Nov 15;211(2):179-84. doi: 10.1016/j.jneumeth.2012.08.024. Epub 2012 Sep 6.

Abstract

Techniques used to produce partial spinal cord injuries in animal models have the potential for creating variability in lesions. The amount of tissue affected may influence the functional outcomes assessed in the animals. The recording of somatosensory evoked potentials (SSEPs) may be a valuable tool for assessing the extent of lesion applied in animal models of traumatic spinal cord injury (SCI). Intraoperative tibial SSEP recordings were assessed during surgically induced lateral thoracic hemisection SCI in Sprague-Dawley rats. The transmission of SSEPs, or lack thereof, was determined and compared against the integrity of the dorsal funiculi on each side of the spinal cord upon histological sectioning. An association was found between the presence of an SSEP signal and presence of intact dorsal funiculus tissue. The relative risk is 4.50 (95% confidence interval: 1.83-11.08) for having an intact dorsal funiculus when the ipsilateral SSEP was present compared to when it was absent. Additionally, the amount of spared spinal cord tissue correlates with final functional assessments at nine weeks post injury: BBB (linear regression, R²=0.618, p<0.001) and treadmill test (linear regression, R²=0.369, p=0.016). Therefore, we propose intraoperative SSEP monitoring as a valuable tool to assess extent of lesion and reduce variability between animals in experimental studies of SCI.

摘要

用于在动物模型中产生部分脊髓损伤的技术有可能导致病变的变异性。受影响的组织量可能会影响动物中评估的功能结果。记录体感诱发电位(SSEP)可能是评估外伤性脊髓损伤(SCI)动物模型中应用的病变程度的有价值的工具。在 Sprague-Dawley 大鼠的手术诱导的侧胸半切 SCI 期间评估术中胫骨 SSEP 记录。确定 SSEP 的传输或不存在,并将其与脊髓两侧背柱的完整性进行比较,以进行组织学切片。发现 SSEP 信号的存在与背柱组织完整之间存在关联。当对侧 SSEP 存在时,与不存在时相比,具有完整背柱组织的相对风险为 4.50(95%置信区间:1.83-11.08)。此外,脊髓组织的保留量与伤后 9 周的最终功能评估相关:BBB(线性回归,R²=0.618,p<0.001)和跑步机测试(线性回归,R²=0.369,p=0.016)。因此,我们建议在 SCI 的实验研究中,术中 SSEP 监测作为评估病变程度和减少动物之间变异性的有价值的工具。

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